Individual provider Active NPI

Michele Marie Heffner, MS, LPC

  • Mental Health Counselor
  • Elizabethtown, PA
National Provider Identifier
1013421676
Registry record updated Nov 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC009987 Issued in PA
Practice address
222 S. Market Street
Suite 104
Elizabethtown, PA 17022
Phone
(717) 635-5304
NPI assigned
Nov 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC009987 PA Primary

Addresses

Primary practice location

222 S. Market Street
Suite 104
Elizabethtown, PA 17022

Mailing address

29 Chestnut Run
Elizabethtown, PA 17022-1185
Phone (717) 361-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001517 PA Practitioner - Mental Health Counselor 4789037813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformative Pathways LLCGroup PAC ID 9234582362, 2 clinicians

Practice addresses (Care Compare)

222 S Market St
Suite 104
Elizabethtown, PA 17022-2439
Phone (717) 635-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Pathways LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

222 S Market St
Ste 104
Elizabethtown, PA 17022
Phone (717) 635-5304

29 S Market St
Ste 201
Elizabethtown, PA 17022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510963200000",
    "number": "1013421676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHESTNUT RUN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221185",
            "telephone_number": "717-361-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S. MARKET STREET",
            "address_2": "SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "17022",
            "telephone_number": "717-635-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFNER",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-18",
        "last_updated": "2017-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.